Banyan Botkin

Developmental Therapist · Jacksonville, FL

Individual Active NPI

NPI number 1851717425

Practice location

4308 Hanover Park Dr
Jacksonville, FL 32224-8602
Phone
(904) 465-1049

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NPI record

NPI
1851717425
Entity type
Individual (Type 1)
Enumeration date
March 6, 2014
Last updated
March 6, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Banyan Botkin

Banyan Botkin is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 4308 Hanover Park Dr, Jacksonville, FL 32224-8602. The NPI number 1851717425 was assigned on March 6, 2014 and the record was last updated on March 6, 2014.

Frequently asked questions

What is the NPI number of Banyan Botkin?

The NPI number is 1851717425.

What is the phone number of Banyan Botkin?

The phone number listed for the practice location is (904) 465-1049.

Where is Banyan Botkin located?

4308 Hanover Park Dr, Jacksonville, FL 32224-8602.

What is the taxonomy code for Banyan Botkin?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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